Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,501.75 / $2,501.75 / $2,501.75	Facility		$2,501.75	$2,501.75	$2,501.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $2,501.75 / $2,836.40	Professional		$1,908.26	$2,501.75	$2,836.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.35 / $550.37 / $1,465.92	Facility		$458.35	$550.37	$1,465.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.17 / $4,080.00 / $4,183.89	Professional		$1,703.17	$4,080.00	$4,183.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $771.40 / $1,044.11 / $1,439.42	Professional		$771.40	$1,044.11	$1,439.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $7,401.00 / $9,586.00	Professional		$638.07	$7,401.00	$9,586.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $2,338.48 / $6,904.83	Facility		$1,908.26	$2,338.48	$6,904.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,501.75 / $4,300.60 / $4,300.60	Professional		$2,501.75	$4,300.60	$4,300.60